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 Chapter 05: Form UI-41, Supplemental Report of Service and Compensation
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          Rail Employer Reporting Instructions (RERI)
          Part VII - Additional Communications about Service and Compensation Reports
          Chapter 05: Form UI-41, Supplemental Report of Service and Compensation
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              Part I - Prerequisite Knowledge for Rail Employer Reporting
          Part II - Establishment of Employee Records
          Part III - Principles of Service and Compensation
          Part IV - Particular Types of Compensation Payments
          Part V - Reports of Creditable Service and Compensation
          Part VI - Reports Related to Service and Compensation
          Part VII - Additional Communications about Service and Compensation Reports
                                Chapter 01: Annuity Estimates Operations
          Chapter 02: Requests for Adjustments and Clarifications
          Chapter 03: Form Letter GL-99, Employer's Deemed Service Month Questionnaire
          Chapter 04: Form Letter GL-132, Annuitant Return to Service
          Chapter 05: Form UI-41, Supplemental Report of Service and Compensation
          Part VIII - Employer Reporting System (ERS) Internet User Instructions
          Appendices Chapter 05: Form UI-41, Supplemental Report of Service and Compensation
							 
							
							
            pdf iconRERI-Part VII_CH 5 (32.6 KB)
      
            **Form UI-41 and UI-41a (Computer Generated)**

Forms UI-41 and UI-41a, Supplemental Report of Service or Compensation, are used to obtain reports of compensation at a higher maximum than reported on your annual report. This information may allow your employee to receive additional Unemployment Insurance (UI) or Sickness Insurance (SI) benefits. This form is accepted as valid certification of service and compensation provided it is signed by the contact official or a designee.

The forms are designed to obtain service and compensation information needed to determine eligibility for benefits under the RUIA. Complete the information for each item checked as follows:

**Service Months**
			Verify whether the employee worked or is otherwise entitled to service for the months checked.**Service Months and Compensation Year(s)**
			Enter the amount of employee's compensation up to the maximum shown for each month he or she worked or otherwise received compensation.**Rate of Pay for Last Day Worked in Calendar Year**
			Enter the employee's pay rate (per hour, day, month, etc.) for the last day worked in the year shown.
        ‹ Chapter 04: Form Letter GL-132, Annuitant Return to Service | 
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 Last updated: 06/02/2017